OrganizationActive
76th St Afc LLC
NPI 1366982159 · Adult Care Home Facility · Caledonia, MI
Provider details
- NPI number
- 1366982159
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Authorized official
- Debra Krajewski, Licensee/Designee
- License
- AM410285883 (MI)
Mailing address
6026 Kalamazoo Ave Se
Grand Rapids, MI 49508-7018
Registry dates
- Enumerated
- 2017-02-28
- Last updated
- 2017-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.